Provider Demographics
NPI:1871682617
Name:ROBINSON, ERNEST JAMES (OD,)
Entity Type:Individual
Prefix:
First Name:ERNEST
Middle Name:JAMES
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:OD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4625 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5917
Mailing Address - Country:US
Mailing Address - Phone:216-765-0532
Mailing Address - Fax:216-765-0560
Practice Address - Street 1:4625 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-5917
Practice Address - Country:US
Practice Address - Phone:216-475-9680
Practice Address - Fax:216-475-9743
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3369/T619152W00000X, 152WC0802X
OHOH3369152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
0482832Medicare PIN